Surgical table



Apr. 24, 1923.

E. E. CABLE SURGICAL TABLE Filed April 23, 1920 2 Sheets-Sheet 1 Fig.1

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E. E. ,CABLE SURGICAL TABLE Filed April 23 1920 2 Sheets-Sheet 2 Y for: 6% 6 555 m V f/forrzeya;

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warren STATES PATENT orricr.

ELBERT E. CABLE, OF PORTLAND, OREGON.

SURGICAL TABLE.

Application filed April 23, 1920. Serial No. 375,921.

To all whom it may concern:

Be it known that I, ELBERT E. CABLE, a citizen of the United States of America, and resident of Portland, in the county of Multnomah, in the State of Ore on, have invented a certain new and useful urgical Table, of which the following is a specification, reference being had to the accompanying drawm s.

lvly invention relates to apparatus specially designed for the treatment of venereal diseases in hospitals or other public places of treatment, and has for its main object means devised for promoting systematic, rapid and thorough treatment of a large number of cases in consecutive order.

My device is also, by reason of its thoroughness and method of application advantageous for treatment in individual cases.

In the treatment of diseases described, especially female infections, the prevailing practice has been to administer douches with the aid of a suitable chair or operating table for the accommodation of the patient, astandard irrigator, and a pad for the purpose of removing the drainage. This method, while meeting satisfactorily, hitherto, the requirements of the average practitioner, is, even so, lacking in thoroughness of application as to be entirely unsuited to the busy. clinic of a large institution where it is necessary to treat many patients daily, owing to the time required in preliminary work, such as that of preparing solutions, regulating the temperature thereof, and filling the containers of the irrigators for each patient, as well as in the treatment itself and in disposition of the contaminated matter.

it is, therefore, an object of my invention to entirely eliminate the use of the irrigators, drain-pads, and the like, and to substitute therefor apparatus that is novel in the combination of its parts and in the method of treatment employed in its operation. In respect to the apparatus, means are provided therein for providing large reservoirs for one or more treating tables and for providing means for charging said reservoirs with a liquid supply, of measured volume, and for regulating the temperature thereof. It also includes means for drawing oil the liquid contents of the reservoir or reservoirs in quantities required for treatment, and if there Is more than one reservoir in drawing from one or the other or both at will. By

this means the solution employed and the actual necessity of even By my invention, the voirs are all made to reservoir or reserdischarge slmultaneously or severally through a single discharge terminal or short section of flexible pipe which is made readily renewable so that a separate terminal is made available for each patent.

My invention simplifies the apparatus and the method of treatment in the class of cases specified to such an extent as to enable the patient, after having be en once instructed by the nurse or physician in attendance to personally administer the douche.

My inventlon is adapted, not only for the treatment of cases of the for the administering of any similar douches, bec accommodated so as to li class specified, but rectal irrigation or ause the patient is e in a perfectly relaxed position, thereby aifording a correct exposure, and enabling the necessary irrigatlon tobe easilv and thoroughly administered.

Further objects of my invention are to provide an eflicient means which will standardize a clean and correct performance of the treatment administered, furnish. an opportunity to inspect for rash or to observe a discharge or any other obvious disease, permit one attendant to treat several patients at the same time, give the additional advantage of a running wash at the correct temperature, and in practically unlimited quantity, which is espec in the treatment of certain diseases.

ially advantageous My apparatus also eliminates the necessity for the use of pads or the like, the drainage and vacated matter being disposed through a drain connection with protection to the attendant, thereby afforded contaminating matter.

, from contact with What constitutes my invention will be hereinafter specified in detail and succinctly set forth in the appended claims.

In the accompanying drawings,

Figure I is a side elevation of my invention, complete in present preferred form of embodiment.

Figure 11 is a front elevation of the subject matter of Figure I.

Figure 111 is a top plan view of the subject matter of the preceding figures.

Referring to the numerals on the drawings, 1. indicates the top of an operating table supported by any suitable and preferred frame, consisting, for example, of four legs 2, and cross-pieces 3, which may be conveniently, cheaply and hygienically made of sections of pipe joined together. The only distinctive feature of the table top is a basin 4 that is conveniently disposed near the foot thereof. The opening in the top 1 surrounding the top of the basin 4 is finished flush and smooth. The basin is preferably oblong in respect to its transverse disposition to the table.

5 indicates an open drain-pipe which communicates, as indicated at 6, with the bottom of the basin 4, and which has an outlet preferably to a sewer-drain 7.

At any height above the table 1 which may aiford suflicient head, I provide two or more preferably lidded reservoirs of which two, indicated respectively by the numera-ls 9 and 10, are shown in the drawings. For each reservoir, whatever the number of reservoirs employed, I provide a water supply pipe, 11 or 12, controlled, respectively, by valves 14 and 15, and united by a cross-over 16, to a single pipe 17, which is connected at the end opposite to that by which it is connected with the cross-over 16, with a cross-over 18. A hot water pipe 19, for instance, and a cold water pipe 20, controlled, respectively, by valves 21 and 22, communicate beyond said valves with the cross-over 18, and deliver their supply from a main or other source.

In this connection it is convenient to specify that through the manipulation of the valves 14, 15, 21 and 22, respectively, a discharge of water at temperature desired may be efi ected through the pipe 11 or the pipe 12 into any one of the reservoirs, two of them, 9 and 10, being shown in the drawings.

By way of further explanation, it may be added that if the valve 21, for example, be opened and the valve 22 closed, hot water will be directed through the pipe 11 or 12, depending upon the manipulation of the valves 14 and 15, to either of the reservoirs. If the valve 21 be closed and the valve 22 opened, cold water may be delivered in like manner to either of the reservoirs. By this means the regulation of temperature may be effected within the reservoir itself by discharging into it alternately hot and cold water. On the other hand, the hot and cold water may be commingled in the cross-over 18 and pipe 17 by opening both valves 21 and 22 at the same time, and with the tempering effect of commingling currents of water. Each of the reservoirs 9 and 10 is provided with a thermometer, 23 or 24, whereby the temperature of the water at tained in thereservoir is rendered legible to the operator.

Each reservoir is also provided with a level-gauge 25 or 26, which may be graduated to indicate the amount of water which the reservoir contains at any level. The maximum level of the reservoirmay be fixed by an overflowpipe, 27 or 28, within the respectivefl reservoirs 9 and 10, leading, as through a cross over 29 and a common-discharge pipe 30, to the sewer-drain 7.

Each of the reservoirs 9 and 10, or as many as may be provided for each table, communicates through a pipe 31 and 32, respectively, with a common cross over 33, that is disposed in operative propinquity to the basin 4, and each is independently controlled by a valve, 35 or 36, for example. The crossover 33 is provided with a T-fitting or other medial discharge member whose branch 38 extends through the adjacent sidewall of the basin 4 and is provided with convenient means for connecting and disconnecting to it a short terminal section of flexible pipe 40, which constitutes, in effect, the discharge member of my apparatus. The pipe 40 is preferably a section of rubber tubing, terminating in a glass or other suitable irrigating nozzle of any ordinary kind not nec essary to illustrate.

Upon opposite sides of the end of the table 1, Iprovide adjustable stirrups, 41 and 42, mounted upon the table in suitable supporting studs 43 and 44, and having means for fixing adjustment thereof represented by abutment screws 45 and 46.

In operation, the attendant nurse or physician having disposed the patient upon the. table 1 in desired position all that remains to be done upon the part of the attendant is to manipulate the valve or valves 35 or 36, or both of them, the manipulation of the pipe 40 being left to the patient to perform, if desired.

By provision of a plurality of reservoirs, 9 and 10 for example, the practically continuous use of the table for a rapid succes- I ture of the flow at the point of discharge through the pipe 40. If the medication of the contents of the two reservoirs is the same, regulation of temperature may be all that is required, but ii different, they may be commingled, if desired, in the pipe LO. The removability of the terminal I0 contributes, also, to uninterrupted serviceability of the table without risk of contamination of one patient by another.

The provision of a plurality of independent reservoirs communicating at will with a common discharge aiiords in some cases means of treatment of the same case with different washes or with washes of different temperatures.

It may be added, that the medication of the water in each reservoir is accomplished by supplying the medicament needed to the reservoir either before or after it is supplied with its water content, and further that the strength of the solution employed may be altered at will, if desired during administering of each treatment.

What I claim is:

1. In apparatus of the kind described, the combination with an operating table having an unobstructive top in operative communication with a drain, of a reservoir elevated above the table, valve controlled intercommunicating pipe connections adapted through commingling contributions at difierent temperatures to supply tempered water to the interior of the reservoir, and means of service supply controllable by an operator from the foot of the table for drawing off the liquid contents of the reservoir.

2. In apparatus for the kind described, the combination with an operating table in operative communication with a drain, of a reservoir provided with a level gauge and with a thermometer legible to the eye of an operator when stationed at the foot of the table, valve controlled pipe adapted to supply water to the interior of the reservoir, means for regulating the temperature of the water so supplied, and means of service supply controllable by an operator from the foot of the table for drawing oflt the liquid contents of the reservoir.

3. In apparatus of the kind described, the combination with an operating table in operative communication with a drain, of a plurality of reservoirs elevated above the table, independent pipe connections with each of said reservoirs, a hot water supply pipe, a cold Water supply pipe, a pipe establishing communication between the hot water supply pipe, the cold water supply pipe and both of the said reservoir pipe connections, a valve for each of the four pipes last named, and pipes communicating with said reservoirs, respectively, to effect a flow therefrom controllable from the foot of the table.

4:. In apparatus of the kind described, the combination with an operating table and a plurality of separate liquid supply reservoirs, or intercommunicating means of discharge therefrom, leading to a common discharge pipe, and means for independently controlling the flow from the reservoirs, op-' eratively located adjacent to the foot of the table.

5. In apparatus of the kind described, the combination of an operating table, a plurality of reservoirs, controllable means of liquid supply thereto, and controllable means of drawing off the contents of the reservoirs for table service, of overflow drain pipes communicating with the reservoirs, respectively, in such manner as to fix the maximum level of their liquid supply.

6. In apparatus of the kind described, the combination with a table, a basin therein, a reservoir elevated above the table and controllable means of liquid supply to the reservoir, of a removable terminal service pipe communicating with said reservoir through a discharge member fixed to the table, and means for controlling liquid supply from the reservoir to the service pipe located adj acentto but separated from the service pipe.

7 In apparatus of the kind described, the combination with an operating table, abasin therein, and a plurality of reservoirs, of independent means of liquid discharge from said several reservoirs, a cross-over connecting the means last named and common to them all, and a removable terminal service pipe extending when in place from the crossover into the basin.

In testimony whereof, I have hereunto set my hand in the presence of two subscribing witnesses.

ELBE-RT E. CABLE.

Witnesses:

JOSEPH L. ATKINS, SARAH Z. RILEA. 

